Medicare (51 - 60 of 108 items)
End-Stage Renal Disease: Medicare Payments for All ESRD Services, Including Injectable Drugs, Should Be Bundled
GAO-07-266T: Published: Dec 6, 2006. Publicly Released: Dec 6, 2006.
This testimony discusses highlights from GAO's report entitled "End-Stage Renal Disease: Bundling Medicare's Payment for Drugs with Payment for All ESRD Services Would Promote Efficiency and Clinical Flexibility." The report examines Medicare payments for certain drugs provided to patients with end-stage renal disease (ESRD), a condition of permanent kidney failure.Through Medicare's ESRD benefit,...
Medicare Integrity Program: Agency Approach for Allocating Funds Should Be Revised
GAO-06-813: Published: Sep 6, 2006. Publicly Released: Oct 6, 2006.
Since 1990, GAO has considered Medicare at high risk for fraud, waste, abuse, and mismanagement. The Medicare Integrity Program (MIP) provides funds to the Centers for Medicare & Medicaid Services (CMS--the agency that administers Medicare--to safeguard over $300 billion in program payments made on behalf of its beneficiaries. CMS conducts five program integrity activities: audits; medical reviews...
Medicare: Quality of CMS Communications to Beneficiaries on the Prescription Drug Benefit Could Be Improved
GAO-06-715T: Published: May 4, 2006. Publicly Released: May 4, 2006.
Today's hearing focuses on Medicare Part D, the program's new outpatient prescription drug benefit. On January 1, 2006, Medicare began providing this benefit, and beneficiaries have until May 15, 2006, to enroll without the risk of penalties. The Centers for Medicare & Medicaid Services (CMS), which administers the Part D benefit, has undertaken outreach and education efforts to inform beneficiari...
Medicare: Communications to Beneficiaries on the Prescription Drug Benefit Could Be Improved
GAO-06-654: Published: May 3, 2006. Publicly Released: May 3, 2006.
On January 1, 2006, Medicare began providing coverage for outpatient prescription drugs through its new Part D benefit. Beneficiaries who enroll in Part D may choose a drug plan from those offered by private plan sponsors under contract to the Centers for Medicare & Medicaid Services (CMS), which administers the Part D benefit. Beneficiaries have until May 15, 2006, to enroll in the Part D benefit...
Medicare: Sponsors' Management of the Prescription Drug Discount Card and Transitional Assistance Benefit
GAO-06-299R: Published: Jan 13, 2006. Publicly Released: Feb 21, 2006.
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) added a prescription drug benefit to the Medicare program, which became effective January 1, 2006. To assist Medicare beneficiaries with their prescription drug costs until the new benefit became available, the MMA also required the establishment of a temporary program, the Medicare Prescription Drug Discount Card and...
Medicare: CMS's Implementation and Oversight of the Medicare Prescription Drug Discount Card and Transitional Assistance Program
GAO-06-78R: Published: Oct 31, 2005. Publicly Released: Nov 30, 2005.
The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) added a prescription drug benefit to the Medicare program, to become effective January 1, 2006. To assist Medicare beneficiaries with their prescription drug costs until the new benefit becomes available, the MMA also required the establishment of a temporary program, the Medicare Prescription Drug Discount Card and Tr...
Information Technology: Centers for Medicare & Medicaid Services Needs to Establish Critical Investment Management Capabilities
GAO-06-12: Published: Oct 28, 2005. Publicly Released: Nov 28, 2005.
To carry out its mission of ensuring health care security for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) relies heavily on information technology (IT) systems. In fiscal year 2005, CMS's total IT appropriations was about $2.55 billion, of which about $760 million, or 30 percent, was to support internal investments, and $1.79 billion was to fund the Medicaid Management Inform...
Health Care Fraud and Abuse Control Program: Results of Review of Annual Reports for Fiscal Years 2002 and 2003
GAO-05-134: Published: Apr 29, 2005. Publicly Released: Apr 29, 2005.
Because of the susceptibility of health care programs to fraud and abuse, Congress enacted the Health Care Fraud and Abuse Control (HCFAC) program as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Pub. L. No. 104-191. HIPAA requires that the Departments of Health and Human Services (HHS) and Justice (DOJ) issue a joint annual report to Congress on amounts deposited...
Social Security Reform: Early Action Would be Prudent
GAO-05-397T: Published: Mar 9, 2005. Publicly Released: Mar 9, 2005.
Social Security is the foundation of the nation's retirement income system, helping to protect the vast majority of American workers and their families from poverty in old age. However, it is much more than a retirement program, also providing millions of Americans with disability insurance and survivors' benefits. Over the long term, as the baby boom generation retires and as Americans continue t...
Medicare Physician Payments: Considerations for Reforming the Sustainable Growth Rate System
GAO-05-326T: Published: Feb 10, 2005. Publicly Released: Feb 10, 2005.
Concerns were raised about the system Medicare uses to determine annual changes to physician fees--the sustainable growth rate (SGR) system--when it reduced physician fees by almost 5 percent in 2002. Subsequent administrative and legislative actions modified or overrode the SGR system to avert fee declines in 2003, 2004, and 2005. However, projected fee reductions for 2006 to 2012 have raised new...